ADSHALL ROAD MEDICAL PRACTICE
PATIENT ACCESS TO ONLINE SERVICES
The following Terms and Conditions are for patients to sign before
being allowed to access clinical system direct online facilities, such
as prescription ordering, appointment booking, or personal profile
One of the following checks should be carried out to ascertain the
Checking photo ID and proof of address, for example, a passport or
driving licence and a bank statement or council tax statement
If the patient has no ID but is well known to the surgery, a
member of staff may be able to confirm their identity.
If the patient has no ID and is not well known to the surgery, the
ability to answer questions about the information in their GP
record may confirm that the record is theirs.
Terms and Conditions
To apply for online access to the Practice’s clinical system,
patients must complete the declaration below and return this form
Applications are “one per patient”. Acceptance of one member of a
family does not imply acceptance of other / further family
Applications for online access will not be considered for patients
who are under the age of 16.
You can choose to let another person see your medical records, for
example members of your family or a carer. To do this safely,
contact the practice manager at the surgery.
Where access is refused this will be in writing, a reason will
only be given at the discretion of the Partners.
Patients with a history of non-attendance at pre-booked
appointments (without cancelling) will not normally be granted
access to on-line appointment booking, however the remainder of
the facilities will be considered.
Appointments booked online are to be cancelled by the patient as
soon as it is determined that it is no longer required.
The Practice will not allow misuse of the online system and will
monitor usage by individual patients. Where it is considered that
a patient is misusing the system or is acting in a way detrimental
to the availability of the appointment system, or other
facilities, a warning letter will be issued. Where the situation
does not improve, or recurs, access will be removed permanently
and without further notice, at the discretion of the Partners.
Repeat prescriptions may only be ordered where these appear on the
repeat list, which is provided to patients on the tear-off portion
of the last prescription issued. The request must match the repeat
list exactly and must be due. Other items ordered or requested
using this facility will not be actioned, and no contact will be
made with the patient. Prescriptions ordered outside this
guideline must be via reception staff. We still require 2 working
days notice to process prescription requests.
Personal Information updating is subject to validation after
Approved access requests will be notified along with access
instructions and a copy of these Terms and Conditions.
Requests for reissuing of access log-in details will be responded
to via reception
If you change surgeries, you will need to register again for
online services at your new surgery.
You can choose to stop using online services at any time by
I agree to the above Terms and Conditions, and others which may be
reasonably imposed from time to time at the discretion of the
Name: ……………………………………………………………….. Signature………………………………………………..